The numbers are stark. Public confidence in higher education has dropped from 57% to 36% in a decade. Yale’s cost of attendance is $94,425 against a median family income under $84,000. A quarter of federal student loan holders are in default. The committee singled out nursing, public health, and environmental science as fields where Yale graduates carry debt out of proportion to what they will earn. The diagnosis underneath: higher education has tried to be all things to all people, and the diffusion of purpose has cost it the public’s trust.

None of that diminishes what elite research universities do well. They produce the basic scientific research behind medical breakthroughs and technological progress. They train the scholars who teach across the entire higher education system. They preserve knowledge in disciplines with no immediate commercial payoff but enormous long-term value. The trust crisis does not change that contribution. It clarifies a structural reality: a system built around a 4.2% acceptance rate was never designed to educate at the scale the country needs. Different parts of the ecosystem serve different purposes. The question the Yale report raises is whether the rest of the ecosystem is doing its part.

Two Crises. One Cause.

This spring, 59% of young Americans see AI as a direct threat to their job prospects. At the same moment, healthcare accountsfor 8.4 million jobs posted annually, roughly 702,000 every month, against just 306,000 available unemployed healthcare workers. The Bureau of Labor Statistics projects healthcare will be the largest job creator in the economy over the next decade. These are not two separate stories. They are the same story. We have built an education system that is slow to produce graduates in structurally durable fields while failing to reach the students who need those pathways most. The bottleneck is not talent. It is design.

Built for the Wrong Student

The Yale committee argues that mission drift has contributed to distrust. I think they are right, and the point extends well beyond elite institutions. The traditional model assumes an 18-year-old with no work obligations and two to four uninterrupted years before entering the workforce. That student exists. But they are no longer the majority. Working adults in their 30s and 40s. Single parents. Career changers. Veterans. People in rural communities where the nearest university is an hour away. These are not edge cases. They are the students the system must be built for.

A veteran and single mother from a rural Florida town without a doctor interviewed for medical school at 1:30 a.m. from overseas after being waitlisted at three U.S. schools. She recently matched into emergency medicine, determined to be the physician her community never had. This is what reliably happens when the pathway is made accessible.

Earning Trust Through Outcomes

The Yale committee recommends that universities be measured on what they deliver: transparent standards, clear criteria, and a visible connection between promises and outcomes. That standard should apply to all of us. At Covista, our five institutions graduate more than 24,000 healthcare professionals a year. Our medical schools achieve a combined 97% first-time residency attainment rate. Our nursing graduates make up 10% of nurses degrees awarded in the country. We still have work to do. Every institution does. But the data is consistent: when the pathway is accessible and the outcomes are transparent, students who were never supposed to make it do.

The Covista Care Capacity Monitor, fielded by Gallup, confirms what we see every day: 76% of clinicians say staffing shortages compromise care quality. Healthcare executives rate pipeline partnerships with education providers as their most effective workforce strategy, above hiring bonuses and staffing agencies combined. Yet only 22% invest significantly in those partnerships.

A Framework That Could Scale

The Carnegie Foundation’s Opportunity Colleges and Universities designation recognizes institutions that expand access and deliver strong economic outcomes. Two of our institutions, Chamberlain University and Walden University, received this designation. But the significance goes beyond any single organization. The Carnegie framework gives the sector a credible, third-party standard for what the Yale committee is asking higher education to become: institutions measured on what their graduates achieve, not just whom they admit. Any university, public or private, could pursue it. The infrastructure for accountability exists. The question is whether the sector will use it.

An Answer Worth Giving

This cannot remain a conversation among elite universities about elite universities. The trust crisis belongs to all of us: research universities, community colleges, professional schools, and institutions built to reach students the traditional system was never designed to serve. None of us has all the answers. What we share is an obligation to earn trust through what we do, not what we claim.

I have spent my career watching what happens when people are given a real pathway and the support to walk it. It is what reliably happens when you design for the student who is standing at the door rather than the student you imagined when you built it.

Yale asked the right question. Now the rest of us owe an answer.

The opinions expressed in Fortune.com commentary pieces are solely the views of their authors and do not necessarily reflect the opinions and beliefs of Fortune.